DATE OF APPLICATION______________________LAST NAME___________________________ FIRST NAME__________________________________ADDRESS_____________________________ TOWN,STATE,ZIP______________________________PHONE_______________________________APPLYING FOR POSITION OF__________________________________________________________Would you be interested in another position if the position for which you are applying is not available? _______EDUCATION:HIGH SCHOOL_____________________________________YEAR OF GRADUATION____________COLLEGE_________________________________________ YEAR OF GRADUATION____________MAJOR____________________________________________EXTRACURRICULAR ACTIVITIES_____________________________________QUALIFICATIONS:What type of recreational work have you done previously? (please list specifics)EMPLOYER TITLE DUTIES DATES EMPLOYED__________________________________________________________________________________________________________________________________________________What experience do you have in working with church related ministries? How many yearsexperience total?__________________________________________________________________________________________________________________________________________________What activities or ministry endeavors are you capable of leading?__________________________________________________________________________________________________________________________________________________What other types of employment have you held (aside from ministry or church relatedexperience)?

EMPLOYER TITLE DUTIES DATES EMPLOYED__________________________________________________________________________________________________________________________________________________Please list any other information about yourself that you would like us to know:__________________________________________________________________________________________________________________________________________________Please list or describe the talents and/or gifts you possess and how those gifts will enableyou to be effective in this position.__________________________________________________________________________________________________________________________________________________

GENERAL INFORMATIONDo you have any freiends or relatives already employed or affiliated by Emancipated Womenof Praise?Yes___________ No____________ Name(s)__________________________________________In the past five years have you been imprisoned, on probation or fined for any violation of any lawor ordinance (except parking violations)?Yes___________ No____________ If yes, please explain_______________________(A record of conviction is not an automatic bar to employment)Are you a United States Citizen?Yes___________ No____________ If no, type of visa or type of work permit______________Do you hold a Valid Drivers License?Yes__________ No_____________ If yes, which class? A B C D

STATEMENT:The following statement must be read and signed in order for your application to be accepted and considered. I understand that employment with the Emancipated Women of Praise Ministries depends upon the result of satisfactory replies from my references, past employers and a leading of the Holy Spirit through prayer and strong consideration; the satisfactory completion of a probationary period and multiple interviewing processes if applicable.

I hereby certify that my application form and any attachments to it contain no false information and are complete to the best of my knowledge. I am aware that if an investigation reveals misrepresentation orfalsification, my application will be rejected, my name will be removed from any registers or lists, and if already employed, I may be immediately dismissed, and I may be disqualified from applying for anyposition with the Emancipated Women of Praise in the future. I hereby release any person or firm from any and all liability for damages pertaining to information supplied during the investigation of and processing of this application.____________________________________________ _______________________________Signature of Applicant (do not print) DateFOR OFFICE USE ONLYInterview Date_________________ Time________________ Interviewer_______Program Area: Position______________________Rate________________Dates Unavailable______________________________________________________Comments: